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American Thoracic Society, American Journal of Respiratory and Critical Care Medicine, 7(187), p. 703-714, 2013

DOI: 10.1164/rccm.201208-1361oc

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The COX2/PGE2 Pathway Maintains Senescence of Chronic Obstructive Pulmonary Disease Fibroblasts.

Distributing this paper is prohibited by the publisher
Distributing this paper is prohibited by the publisher

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Abstract

Rationale. Chronic obstructive pulmonary disease (COPD) is associated with lung fibroblast senescence, a process characterized by the irreversible loss of replicative capacity associated with the secretion of inflammatory mediators. However, the mechanisms of this phenomenon remain poorly defined. Objectives. The aim of this study was to analyze the role of prostaglandin E2 (PGE2), a prostaglandin known to be increased in COPD lung fibroblasts, in inducing senescence and related inflammation in vitro in lung fibroblasts and in vivo in mice. Methods and main results. Lung fibroblasts from COPD patients exhibited higher expression of PGE2 receptors EP2 and EP4 as compared to non-smoker and smoker controls. Compared to both non-smoker and smoker controls, during long-term culture, COPD fibroblasts displayed increased senescent markers (increased senescence associated-β galactosidase activity, p16 and p53 expression and lower proliferative capacity), and an increased PGE2, IL6, IL8, GRO, CX3CL1 and MMP2 protein and COX2 and mPGES-1 mRNA expression. Using in vitro pharmacological approaches and in vivo experiments in wild type and p53 -/- mice we demonstrated that PGE2 produced by senescent COPD fibroblasts is responsible of the increased senescence and related inflammation. PGE2 acts either paracrinally or autocrinally via a pathway involving EP2 and EP4 prostaglandin receptors, COX2-dependent reactive oxygen species production and signaling, and consecutive p53 activation. Conclusion. PGE2 is a critical component of an amplifying and self-perpetuating circle inducing senescence and inflammation in COPD fibroblasts. Modulating the described PGE2 signaling pathway could provide new basis to dampen senescence and senescence-associated inflammation in COPD.